Your Medicare Coverage

Find out what Medicare covers

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Colorectal cancer blood-based biomarker screening tests

Medicare Part B (Medical Insurance) covers a blood-based biomarker screening test to check for colorectal cancer if you meet all of these conditions:You’re between 45–85.You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or…

Fecal occult blood tests (screening)

Medicare covers screening fecal occult blood tests once every 12 months if you’re 50 or older, if you get a referral from your doctor, physician assistant, nurse practitioner or clinical nurse specialist...

Multi-target stool DNA tests

Medicare covers an at-home multi-target stool DNA lab test once every 3 years if you meet certain conditions. ...

Barium enemas

Part B covers screening barium enemas...

Colonoscopies

Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...

Flexible sigmoidoscopy screenings

Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 45 or older...

Cervical & vaginal cancer screenings

Part B covers Pap tests and pelvic exams to check for cervical and vaginal cancer and a clinical breast exam to check for breast cancer...

Preventive & screening services

Part B covers many preventive services...

Lung cancer screenings

Part B covers Low Dose Computed Tomography lung cancer screening once each year if you meet certain conditions...

Mammograms

Part B covers a screening mammogram once every 12 months and a diagnostic mammogram when medically necessary...

Prostate cancer screenings

Explanation of prostate cancer screenings covered under Medicare Part B...

HIV screenings

Part B covers HIV screenings for the virus leading to AIDS every 12 months or up to 3 times during pregnancy...

Cardiovascular disease screenings

Part B covers blood tests (cholesterol, lipid, triglyceride levels) every 5 years to help detect conditions that may lead to a heart attack or stroke...

Hepatitis C Virus infection screenings

Medicare covers one Hepatitis C screening test if your primary care doctor or practitioner orders it and if you meet certain conditions...

Sexually transmitted infection screenings & counseling

Explanation of Medicare’s coverage of sexually transmitted infection (STI) screenings...

Diabetes screenings

Part B covers screenings to check for diabetes. You may be eligible for 2 diabetes screenings each year...

Glaucoma screenings

Part B covers a glaucoma test conducted or supervised by an eye doctor legally allowed to do the test in your state once every 12 months...

Depression screening

Medicare Part B (Medical Insurance) covers one depression screening per year to find out if you have symptoms of depression. If you or someone you know is struggling or in crisis, call or text 988, the free and confidential Suicide & Crisis Lifeline. You can call…

Alcohol misuse screenings & counseling

Part B covers an alcohol misuse screening once per year if you’re an adult (including during pregnancy) who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other health care provider determines you’re misusing alcohol, you can get up to 4…

Hepatitis B Virus (HBV) infection screenings

Medicare covers Hepatitis B Virus (HBV) infection screenings if you’re at high risk or pregnant. ...

Electrocardiogram (EKG or ECG) screenings

Part B covers an EKG or ECG (as a one-time screening with a referral from your doctor as part of your "Welcome to Medicare" preventive visit and as a diagnostic test.)...

Abdominal aortic aneurysm screenings

Medicare Part B (Medical Insurance) covers an abdominal aortic screening ultrasound once if you’re at risk. You’re considered at risk if you have a family history of abdominal aortic aneurysms, or you’re a man age 65-75 and have smoked at least 100 cigarettes in your lifetime...

Clinical research studies

Medicare covers some clinical research studies, which test different types of medical care, like how well a cancer drug works...

Pre-exposure prophylaxis (PrEP) for HIV prevention

If you don’t have HIV, but your doctor or other health care practitioner determines you're at an increased risk for HIV, Part B (Medical Insurance) covers pre-exposure prophylaxis (PrEP) medication and related services.If you qualify, covered services include:FDA-approved oral or injectable…

Breast prostheses

Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...

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If you have Medicare (or care for someone who does), use this list to check for nationally covered items and services. Remember: Medicare coverage for many other tests, items, and services depends on where you live.
Talk to your doctor or other health care provider and ask if Medicare will cover the test, item, or service you need.
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